Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1078
Peer-review started: December 19, 2023
First decision: January 9, 2024
Revised: January 30, 2024
Accepted: March 15, 2024
Article in press: March 15, 2024
Published online: April 27, 2024
This study introduced a three-dimensional quality evaluation model of configuration program result to evaluate the prognosis of patients undergoing laparoscopic cholecystectomy. The implementation of a three-dimensional quality assessment model seems to improve the recovery process of patients undergoing laparoscopic cholecystectomy, reduce stress symptoms, and potentially reduce the incidence of complications.
The main topic of this research is the implementation and evaluation of the Configuration-Procedure-Consequence (CPC) three-dimensional quality assessment model in the context of laparoscopic cholecystectomy. The key problems to be solved in this study are: (1) Inadequate patient outcomes: Reducing postoperative complications, enhancing patient satisfaction, and optimizing recovery; and (2) Fragmented approach to patient care: The current approach to patient care often focuses on the surgical procedure itself. This fragmented approach may limit the potential for improving patient outcomes and experiences. The significance of solving these problems for future research in this field are: (1) Enhanced patient outcomes; (2) Improved patient satisfaction; (3) Advancement of surgical care models; and (4) Integration of holistic care approaches. Overall, solving the key problems in laparoscopic cholecystectomy through the implementation of the CPC model can have a significant impact on improving patient outcomes, advancing surgical care models, and promoting holistic care approaches in healthcare.
The research objectives for this study are as follows: (1) To assess the effectiveness of the CPC three-dimensional quality assessment model in improving the outcomes of patients undergoing laparoscopic cholecystectomy; (2) To compare the postoperative recovery outcomes between the study group receiving care based on the CPC model and the control group receiving standard care; (3) To evaluate the physiological impact of the CPC model on patients by measuring cortisol and adrenaline levels; and (4) To assess the psychological impact of the CPC model on patients through self-report questionnaires. The objectives that were realized in this study include: (1) Determining whether the CPC model can lead to improved postoperative recovery outcomes compared to standard care; (2) Establishing the impact of the CPC model on physiological indicators such as cortisol and adrenaline levels; and (3) Evaluating the psychological impact of the CPC model on patients' well-being. The significance of realizing these objectives for future research in this field are: (1) Providing evidence on the effectiveness of the CPC model in enhancing the outcomes of laparoscopic cholecystectomy patients; (2) Contributing to the development and refinement of the CPC model by identifying its strengths, weaknesses, and areas for improvement; (3) Informing future research on the integration of the CPC model in other surgical procedures or healthcare settings to enhance patient care and outcomes; and (4) Promoting a holistic approach to patient care.
This study utilizes a randomized controlled trial design to evaluate the effectiveness of the CPC three-dimensional quality assessment model in patients undergoing laparoscopic cholecystectomy. Participants are assigned to either the study group receiving care based on the CPC model or the control group receiving standard care. Several measures, including first bowel movement time, oral intake time, walking time, and length of hospital stay, are assessed to evaluate postoperative recovery. Physiological indicators such as cortisol and adrenaline levels, as well as self-report questionnaires, are used to assess psychological impact.
The research findings of this study contribute to the field by demonstrating the potential benefits of implementing the CPC three-dimensional quality assessment model in laparoscopic cholecystectomy patients. The results indicate that the use of this model is associated with improved postoperative recovery outcomes, reduced stress levels, and potentially lower complication rates. Specifically, the study found that patients in the study group had significantly shorter first flatus time, oral intake time, ambulation time, and hospital stay compared to the control group. Moreover, on the third day after surgery, patients in the study group exhibited significantly lower levels of cortisol and epinephrine, as well as lower anxiety and depression scores, compared to the control group. However, there are still some remaining problems to be solved. The study involved a relatively small sample size, which may limit the generalizability of the findings. Additionally, longer-term follow-up evaluations are needed to assess the sustained effects of implementing the model. Furthermore, the cost-effectiveness and feasibility of incorporating this model into routine clinical practice need to be further investigated. In conclusion, the research results highlight the potential benefits of the CPC three-dimensional quality assessment model in facilitating the recovery process, reducing stress symptoms, and potentially lowering complication rates in laparoscopic cholecystectomy patients.
This study demonstrates the application value of the process structure result three-dimensional quality evaluation regulation mode in patients undergoing laparoscopic cholecystectomy, providing new nursing measures for perioperative rehabilitation of patients undergoing laparoscopic cholecystectomy at the theoretical level. The new method of this study is a nursing intervention that integrates structural assessment process assessment and structural assessment, achieving a perfect cycle of planning, argumentation, re-evaluation, and correction, providing new nursing measures for perioperative rehabilitation of patients undergoing laparoscopic cholecystectomy.
The direction of future research in this study could focus on further validating the CPC three-dimensional quality assessment model in larger and more diverse patient populations.